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I received yours of the 12th. just
as I was going out of town to Alloa Tower, where I have been ever since
'till now. About the 3d of January I canced to call on MrGascoigne &
observing Miss rise from her seat stifly, I askd what was the matter ––
her father said that his young woman he thought was become an old one
Miss said she had got the Rheumatism on her legs. When I was going
away, he askd me what coud occasion it, I told him I did not know,
perhaps it might be owing to her taking no Exercise, recommended that or
dry rubbing: or he send her to Edinburgh to divert herself and danceing with
her frends there. Some days after that, I received the inclosed letter
inviting me to give my advice. I went to Carron house, and found
Miss G: very distressd with the Complaints her father wrote of
but no Cough pain in the breast nor Catarrhal symptom.
That night I advised bathing her legs. Next morning she had
sleepd well, but distressd in the same manner with her pains. –
I learnd she had a blood that morning which evacuation generally
lasted eight days. I had therefor nothing to direct but to ↑take↑ care that
the evacuation shou'd proceed properly and beged to hear of her
after it was over. Accordingly a day or two after she wrote me
that all her pains continued to distress ↑her↑ in different places, but had
then began to affect her breast and breathing with a short cough
Upon this, I immediatly went to see her and altho there was no
frequency in her Pulse, took from her arm that night 12 or 14
ounces blood /it flowed freely and was no ways discoloured/
Next morning I made her take a dose of purgeing Infusion of
Senna & Soluble Tartar and that to be repeated at a day or two

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intervals. I ordered a draught to be taken at bedtime on these days she took
the doses of purgeing Infusion of Spirit minderer: 15 drops of Laudanum, & 25 of
antimonial wine, likewise a Saline Julep with antimonial wine to be
↑taken↑ three or four times a day on the interveining days. After that I directed
five grains of Camphor in Pills to be taken twice a day with some
decoction of Peruvian Bark. She was remarkably better during these
three days so they were repeated, in her card after that time she said, "the pains
in her head & face have been violent all this day, she immagines oweing
"to her haveing forgot to put some Flannel about her head last night as
"she had done of late. The pain has been constant for these two days in her
"right shoulder and sometimes in that hand. The cough is almost gone,
"& the pain in her breast is slight and not frequent." After this she made
a visit [in?] Carronhall and was abroad 'till nine at night. Her next card said
"The pains in my head are almost gone, but are violent in my shoulder
"and Legs so that I am scarce able to walk, & the cough is att times
violent for about an hour or two in the four and twenty hours, &
"that generally in the Evening & before supper, and in the mornings
"before breakfast: I directed antimonial wine from 29 to 45 drops every morning
and as her pains have always threatned to fix in her right shoulder
and to affect her right hand, I meand to have ordered a blister to be
applyed to the outside of that arm, to be reblistered as it heald or
keepd open by way of Issue. Since she came from Edinburgh I figure she
has been out of order, and fancy that is just now over. I have found
a Card from her, saying that her breast has been much paind. I shall
therefor go to see her the morrows morning and take some blood
from her. She has from the beginning wore a flannel jacket next her
skin and her diet has been mild. If you think of any thing further
to recommend shall be glad to hear from you being with great
esteem Dear Sir

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Doctor William Cullen
Physician in
Edinburgh